Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LIVINGSTON SUBSPECIALTY GROUP, P.A.
Active
Organization
LIVINGSTON SUBSPECIALTY GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOTTI (CONTROLLER)
(973) 597-1690
Entity
Organization
Contact information
Practice address
349 E NORTHFIELD RD, SUITE 200, LIVINGSTON, NJ 07039-4802
(973) 597-0900
(973) 597-0910
Mailing address
349 E NORTHFIELD RD, SUITE 200, LIVINGSTON, NJ 07039-4802
(973) 597-0900
(973) 597-0910
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA045092
NJ
207RI0200X
Infectious Disease Physician
MA045093
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3457109
—
NJ
Enumeration date
07/19/2006
Last updated
03/24/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up